Interesting CaseMiguel G. Echevarria, MD

Emory MSK Radiology

• 66 year old female with history of multiple foot surgeries presenting with lateral foot pain.

* Not the actual patient

SSVSN

Sural Nerve

• Sensory nerve in the calf region (sura) of the leg.

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Sural Nerve

http://www.bats.ac.nz/detail-foot_and_ankle_surgery-2

https://noijam.com/2017/05/10/the-sural-nerve-the-appendix-of-the-nervous-system/

Sural Nerve

• May be susceptible to mechanical impingement or entrapment, injured secondary to trauma (fibular fracture) or iatrogenic.

• Burning, numbness, or aching at the posterolateral leg.

• Nerve block• Determine site of entrapment• Cause of patients pain

• Conservative treatment• Physical therapy • Corticosteroid injection

• Surgical resection, neurolysis

https://functionalanatomyseminars.files.wordpress.com

Local Anesthetics

Corticosteroids

The Pharmacological Basis of Therapeutics

References• Ultrasound-Guided Peripheral Nerve Injection Techniques, O. Kenechi Nwawka and Theodore T. Miller

American Journal of Roentgenology 2016 207:3, 507-516